HomeMy WebLinkAboutZ-22886FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22886 Date MARCH 2~ 1994
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 485 SECOND STREET NEW SUFFOLK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 9 Lot 24
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior toz APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22886 dated MARCH 2, 1994
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ACCESSORY BUILDING IN REAR YARD *
The certificate is issued to GERALD & PAMELA S. PICHER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~~/u~i 1 ~ ing/I~ Spect or· ~
Rev. 1/81
LOCATION:
BUILDINC DEPART?lENT
TOWN OF SOU~IOLD
tlOUSINC CODE INSPECTION REPORT
485 SECOND STREET NEW SUFFOLK, N.Y.
(number & street)
SUBDIVISION MA[' NO.
NAME OF OWNER (s) GERALD & PANELA S. PICHER
OCCUPANCY SINGLE, FAMILY
(type)
ADMI%~O BY: TOM McCARTHY
THOMAS McCARTHY
KEY AVAILABLE
SOULC.?- OF REQUEST:
(munic i-pal it y
~.or (s)
(O~ner-tcnantt
ACCOMPANIED
SUFF. CO. T~ MAP NO. I000-I17-9-24
DATE: NOV. ]9, 1992
DIALLING:
IYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS:
BATI1R00M (s)'
PORCH TYPE
BREEZEWAY
DO}~STIC H0~ATER
TYPE I~AT OIL
O~IER:
WOOD
CEHENT BLOCK
IST FLR. '5
I
TOILET ROOM (s)
DECK, TYPE
FIREP~ICE
TYPE HEATER
WARM AIR
~ STORIES !' # EXITS @
CELLAR FULL CRAWL- SPACE
3RD FLR.
OFF BOILER
UTILITY ROOM
PATIO· TYPE
GARAGE
RAISED CEMENT
AIRCONDITIONING
HO~ATER XX
ACCESSORY STRUCTURES:
CARAGE, TYPE OF CONST..
SQD~ING POOL
ACCESSOR[ ~UILDINGWITH
STORAGE, TYPE CONST. PLUMBING IN NEED'OF REPAIR.
· CUEST, TYPE CONST.
OTILER:
VIOI=%TIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIR~ PREVENTION & BUILDING CODE
LOCATION DESCRIPTION e~RT. SEC.
~RKS:
BP #I4056Z-CO.Z-22884 (Sunroom) BP #21922-Z-CO Z-22885 (WOOD STOVE)
'ECTED BY:
DA'rE ON INSPECTION JAN. 26, 1994
TIME START 9:45 END 10:15
Form No. 6
TOWN OF SOUTUOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
· : APPLICATION FOR.CERTIFICATE OF OCCUPANCY
N0¥2
A. This application must be filled in by typewriter OR.ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
~. Approval of electrical installation f~om Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder.~$ed in system contains
less than 2/10 of 1% lead.
$. Commercial building, industrial b~ilding, multiple residences an~ similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
~.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-existing" land uses:
1. -Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application an~ 'a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons'therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,'
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
·Certificate of Occupancy on Pre-existing Building.- $100.00
3. Copy of Certificate.of Occupancy - $5.00 over 5 years - $i0.00 '~"
4. .Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
· ..... ....
~er or Owners of Property ...................................................
sty Tax Map No I000, Section ..... Il2 ..... Block .... .~. .......... Lot.~.% ..................
~diviaion .'; ' Filed Map Lot
-mit No Dat~ Of Permit APplicant
!th Dept. Approval .......................... Underwriters Approval ..........................
~lng Board Approval ' '
;t for: Temporary Certificate ........... Final Certicate..~.. .......
................ APricoT
N/O/F
HENRY B. JACOBS
S. 83 °43'40"E.
0.~' £.
N. 84°1B'00'' W.
14. 5'
fF.
conc~ 6/o~/c ~o~;
ZZ"/'
lot. '96'
N/O/F THOMAS LOWRY El ANNE LOWRY
JACKSON
CERTIFIED TO:
AMERICAN TITLE INSURANCE COMPANY
GERALD A. PICHER
PAMELA S. PICHER
Prepered ill aceordance with the minimum
V~andards for title surYeys as established by
~,,o L.i.A.L. $. end epproved and adopted
,~,r such ~e by The New York State Land
R O. BOX 90 9
MAIN ROAD
SOUTHOLD , N.Y. 11971
STREET
SUR VE Y
GERALD A.
PAMELA S.
AT
FOR
PICHER
PICHER
NEW SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY , N. Y.
I000 - 117 - 09 - 024
~ ENGINEERS RC.
(516) 765 - 5020
- 358
(.3
LU
1992
~vnerts)
do(e.~) hereby
CONSE.';T
TO
INSPECTION
That the undersigned (is) (are) the owner(s) of the premise.'; in thc To,sm
A]~ . which is uhown and dcsi~n.r,~cd on
County ~ax map as Distric~ lOOa, Section , Block_ ~, Lo~
'That the undersigned (has) (ha~e) filed, o~ caused ~o be ~iled. an applica-
tion in the Soufl~ald To~ Euildin~ Inspector's Orrice rot the
That the undersigned do(es) hereby give consent to lhe BuildLn~ Inspectors
of the Town of Southold to enter upon the above described property, including
nn'~,' and all buildings located thereon, to conduct such inspections as they may
deern necessary with respect to the aforesaid applicalion, ' ]"~; ~ insp~cCior, s
to de:er.'-nine that said premises comply with all of tim laws; ordinances, .rules
and re.~ulations o£ the Town cf Southold.
The undersigned, in consentinK to such inspections, do(es) so ~%-ith the
kno",:'led~e and understandinff~ that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for
]a,~on., o£ [he lay/s, ordinances, rules or re~-ula~ions o£ ~he Town o£Southold.
Dated: